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General NPI Number Information
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NPI Number | 1699958579
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Entity Type | Individual
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Provider Name | PANNABEN H NANGHA MD
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Gender | Female
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 221 REGENCY PKWY SUITE 125
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City | MANSFIELD
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State | TX
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Zip | 76063-5165
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Country | US
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Telephone | 817-477-5884
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Fax | 817-453-8091
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Provider Business Mailing Address
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Address Line | 221 REGENCY PKWY STE 125
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City | MANSFIELD
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State | TX
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Zip | 76063-5379
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Country | US
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Telephone | 817-634-7670
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Fax | 833-784-1531
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N8959
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License Number State | TX
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